Vestibular Rehabilitation Reduces Functional Disability

1992 ◽  
Vol 107 (5) ◽  
pp. 638-643 ◽  
Author(s):  
Helen Cohen
Keyword(s):  
Physical Therapy ◽  
Functional Disability ◽  
Self Care ◽  
Vestibular Rehabilitation ◽  
Vestibular Disorder ◽  
Important Indicator ◽  
Therapy Program ◽  
Before And After ◽  
Physical Therapy Program ◽  
Success Of Treatment

Vertigo caused by vestibular disorder may be successfully treated with a physical therapy program of graded exercises to habituate the patient to the vertiginous stimulus and to increase the range of motion through which the patient can tolerate moving. Performance on daily self-care tasks is an important indicator of the patient's tolerance for head movement and the success of treatment. In this study, self-care skill in subjects with labyrinthine and brainstem lesions before and after receiving vestibular rehabilitation was examined. Subjects improved significantly after physical therapy, demonstrating greater independence in their abilities to care for themselves. These data provide further support for the value of vestibular rehabilitation procedures.

scholarly journals Conventional physical therapy and physical therapy based on reflex stimulation showed similar results in children with myelomeningocele

2017 ◽  
Vol 75 (3) ◽  
pp. 160-166 ◽  
Author(s):  
Carolina Y. P. Aizawa ◽  
Mariana P. Morales ◽  
Carolina Lundberg ◽  
Maria Clara D. Soares de Moura ◽  
Fernando C. G. Pinto ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Correlation Coefficients ◽  
Functional Independence ◽  
Wilcoxon Test ◽  
Therapy Program ◽  
Gross Motor Function Measure ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Before And After ◽  
Physical Therapy Program ◽  
Reflex Stimulation

ABSTRACT We aimed to investigate whether infants with myelomeningocele would improve their motor ability and functional independence after ten sessions of physical therapy and compare the outcomes of conventional physical therapy (CPT) to a physical therapy program based on reflex stimulation (RPT). Twelve children were allocated to CPT (n = 6, age 18.3 months) or RPT (n = 6, age 18.2 months). The RPT involved proprioceptive neuromuscular facilitation. Children were assessed with the Gross Motor Function Measure and the Pediatric Evaluation of Disability Inventory before and after treatment. Mann-Whitney tests compared the improvement on the two scales of CPT versus RPT and the Wilcoxon test compared CPT to RPT (before vs. after treatment). Possible correlations between the two scales were tested with Spearman correlation coefficients. Both groups showed improvement on self-care and mobility domains of both scales. There were no differences between the groups, before, or after intervention. The CPT and RPT showed similar results after ten weeks of treatment.

scholarly journals Effect of vestibular rehabilitation therapy on visual and motor functions in children with dyspraxia

2021 ◽  
Vol 15 (5) ◽  
pp. 1783-1787
Author(s):  
Maha Abd Ellatif ◽  
Kamal E. Shoukry ◽  
Gehan M. Abd El Maksoud ◽  
Ahmed E. Chedid ◽  
Ahmed F. Genedy
Keyword(s):  
Visual Function ◽  
Vestibular Rehabilitation ◽  
Study Group ◽  
Gross Motor ◽  
Motor Functions ◽  
Rehabilitation Therapy ◽  
Therapy Program ◽  
Before And After ◽  
Physical Therapy Program ◽  
Level 2

Purpose: To investigate the effect of vestibular rehabilitation therapy program on the visual and motor functions in children with dyspraxia. Method: Twelve children with dyspraxia from both genders, aged from 4 to 12 years, are included in this study. All of them had movement dyspraxia affecting their ability to stand and walk alone according to chick list of developmental dyspraxia. Also, they had level 2 or 3 of visual function level. They received vestibular rehabilitation therapy program in addition to traditional physical therapy program, for three times/ week, for three months. Visual and gross motor functions were assessed before and after three months of treatment using Hoyt's levels of visual function and Peabody Developmental Motor Scale (PDMS- 2) respectively. Results: Results showed highly significant improvement in visual function level and gross motor functions for the study group when comparing it's results before and after three months of treatment (P ≤ 0.05) Conclusion: Vestibular rehabilitation therapy program is an effective modality for improving visual and motor functions in children with dyspraxia. Key words: Dyspraxia, motor functions, Vestibular Rehabilitation Therapy program, visual functions

scholarly journals Functional Stretching Exercise Submitted for Spastic Diplegic Children: A Randomized Control Study

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Mohamed Ali Elshafey ◽  
Adel Abd-Elaziem ◽  
Rana Elmarzouki Gouda
Keyword(s):  
Physical Therapy ◽  
Control Group ◽  
Study Group ◽  
Therapy Program ◽  
Passive Stretching ◽  
Gait Parameters ◽  
Before And After ◽  
Physical Therapy Program ◽  
Control Study ◽  
Stretching Exercises

Objective.Studying the effect of the functional stretching exercise in diplegic children.Design.Children were randomly assigned into two matched groups.Setting.Outpatient Clinic of the Faculty of Physical Therapy, Cairo University.Participants.Thirty ambulant spastic diplegic children, ranging in age from five to eight years, participated in this study.Interventions.The control group received physical therapy program with traditional passive stretching exercises. The study group received physical therapy program with functional stretching exercises. The treatment was performed for two hours per session, three times weekly for three successive months.Main Outcome Measure(s).H∖M ratio, popliteal angle, and gait parameters were evaluated for both groups before and after treatment.Results.There was significant improvement in all the measuring variables for both groups in favor of study group. H∖M ratio was reduced, popliteal angle was increased, and gait was improved.Conclusion(s).Functional stretching exercises were effectively used in rehabilitation of spastic diplegic children; it reduced H∖M ratio, increased popliteal angle, and improved gait.

Effects of adding neural mobilization to traditional physical therapy on pain, functional disability, and H-reflex in patients after lumbar laminectomy: A randomized controlled trial

2021 ◽  
pp. 026921552110341
Author(s):  
Moussa A Sharaf ◽  
Soheir S Rezkallah ◽  
Khalid Z Fouda ◽  
Nevein MM Gharib
Keyword(s):  
Physical Therapy ◽  
Functional Disability ◽  
Controlled Trial ◽  
H Reflex ◽  
Study Group ◽  
Therapy Program ◽  
Reflex Latency ◽  
Postoperative Physical Therapy ◽  
Physical Therapy Program ◽  
And Control

Objective: To investigate whether adding neural mobilization to a standard postoperative physical therapy program could improve the outcomes of patients after lumbar laminectomy. Design: A single blinded randomized controlled trial. Setting: Outpatient setting. Participants: Sixty participants of both sexes who had undergone lumbar laminectomy. Interventions: Participants were allocated randomly to two groups; study and control groups. All patients received a standard postoperative physical therapy program. Those in the study group received additional neural mobilization in the form of straight leg raising and dorsiflexion with two-ended slider. Treatment was administered three times/week for six successive weeks. Outcome measures: Visual analog scale (VAS), Oswestry disability index (ODI), and H-reflex latency were measured pre and post-treatment. Results: The mean age of participants was 44.23 ± 4.64 and 45.3 ± 5.3 in study and control groups respectively ( P > 0.05). There were statistically significant differences in VAS, ODI, and H-reflex latency in favor of the study group ( P < 0.05). The mean ± SD for VAS, ODI, and H-reflex latency pre vs post treatment was 6.13 ± 1.22 vs 1.40 ± 0.77, 64.46 ± 4.05 vs 16.86 ± 2.55, and 32.07 ± 2.76 vs 27.46 ±1.79 in study group and 5.86 ± 1.07 vs 2.46 ± 0.73, 63.93 ± 3.91 vs 23.40 ± 2.93, and 31.76 ± 2.69 vs 29.4 ± 1.94 in control group, respectively. Conclusions: Neural mobilization combined with traditional physical therapy program achieved better improvement in pain, functional disability and H-reflex in patients who underwent decompressive laminectomy than traditional physical therapy program only.

scholarly journals Efficacy of ankle kinesiotape on balance in children with spastic diplegia

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Samar Sami Ibrahim ◽  
Emam Hassan EL-Negmy ◽  
Amina Salem Hindawii ◽  
Nahla M. Ibrahim
Keyword(s):  
Physical Therapy ◽  
Postural Stability ◽  
Stability Index ◽  
Control Group ◽  
Spastic Diplegia ◽  
Study Group ◽  
Therapy Program ◽  
Before And After ◽  
Physical Therapy Program ◽  
Ankle Dorsiflexor

Abstract Background Adequate and efficient standing postural balance is key for functional walking and handling abilities in children with spastic diplegia. This study was designed to evaluate the effect of kinesiotape applied on ankle dorsiflexor muscles on balance in children with spastic diplegia. Thirty children with spastic diplegia of both genders participated in the study: 16 boys and 14 girls between 4 and 10 years old. They were divided randomly and equally into two groups: a control group, in which children received the standard physical therapy program for children with diplegia; and the study group, who received the same physical therapy program as in the control group but after kinesiotape application over the ankle dorsiflexor muscles. Both groups received the treatment program for 1 h, three times per week, for three successive months. Postural stability was assessed through evaluation of three stability index (anteroposterior, mediolateral, and overall) for all children by the Biodex Balance System before and after treatment. Results Statistical analysis of results before and after treatment was performed by mixed MANOVA to compare effects both within and between groups on stability indexes, and post hoc tests were carried out for subsequent multiple comparison. The level of significance for all statistical tests was set at p < 0.05. Before treatment, there was no significant difference in the stability index between both groups (p > 0.05). Comparison between both groups post-treatment revealed a significant decrease in the measured variables of the study group compared with that of the control group (p < 0.05). Conclusion Adding ankle kinesiotaping over dorsiflexor muscles in conjunction with a balance and gait training exercise program for children with diplegia can enhance postural stability and decrease sway. This study suggests that it should be added to the treatment program for children with diplegia. Trial registration This study was registered retroactively. Identifier: NCT04243928

Low frequency transcranial magnetic stimulation in subacute ischemic stroke: Number of sessions that altered cortical excitability

2020 ◽  
Vol 47 (4) ◽  
pp. 427-434
Author(s):  
Mohammed S. El-Tamawy ◽  
Moshera H. Darwish ◽  
Saly H. Elkholy ◽  
Engy BadrEldin S. Moustafa ◽  
Shimaa T. Abulkassem ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Transcranial Magnetic Stimulation ◽  
Physical Therapy ◽  
Upper Limb ◽  
Magnetic Stimulation ◽  
Cortical Excitability ◽  
Low Frequency ◽  
Cortical Reorganization ◽  
Therapy Program ◽  
Physical Therapy Program

BACKGROUND: Cortical reorganization between both cerebral hemispheres plays an important role in regaining the affected upper extremity motor function post-stroke. OBJECTIVES: The purpose of the current study was to investigate the recommended number of contra-lesion low frequency repetitive transcranial magnetic stimulation (LF-rTMS) sessions that could enhance cortical reorganization post-stroke. METHODS: Forty patients with right hemiparetic subacute ischemic stroke with an age range between 50–65 yrs were randomly assigned into two equal groups: control (GA) and study (GB) groups. Both groups were treated with a selected physical therapy program for the upper limb. Sham and real contra-lesion LF-rTMS was conducted for both groups daily for two consecutive weeks. Sequential changes of cortical excitability were calculated by the end of each session. RESULTS: The significant enhancement in the cortical excitability was observed at the fourth session in favor of the study group (GB). Sequential rate of change in cortical excitability was significant for the first eight sessions. From the ninth session onwards, no difference could be detected between groups. CONCLUSION: The pattern of recovery after stroke is extensive and not all factors could be controlled. Application of LF-rTMS in conjugation with a selected physical therapy program for the upper limb from four to eight sessions seems to be efficient.

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